NPI | 1093753923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 199854) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA06289500) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2016-08-10 |